4 Corners Dental Sleep Solutions LLC

NPI #1902460017 in Cortez, Colorado

Provider Information

NPI Number
1902460017
Entity Type
Organization
Organization Name
4 Corners Dental Sleep Solutions LLC
Subpart
Yes (part of a larger organization)
Parent Organization
4 CORNERS DENTAL SLEEP SOLUTIONS LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Apr 24, 2019
Last Updated
Jun 10, 2019

Practice Location

Address
302 W MONTEZUMA AVE
City
Cortez
ZIP Code
81321-2750
Phone
(970) 565-3612

Authorized Official

Name
DR. JOHN A VESTAL, DDS
Title
OWNER
Phone
(970) 565-3612

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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